VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Anahi Vidaurre
7424 McWhorter Place
Annandale, VA 22003
(703) 309-8849

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: July 17, 2024

Complaint Related: No

Areas Reviewed:

?8VAC20-800 Administration ?8VAC20-800 Personnel ?8VAC20-800 Household Members ?8VAC20-800 Physical Health of Caregivers and Household members ?8VAC20-800 Caregiver Training ?8VAC20-800 Physical Equipment and Environment ?8VAC20-800 Care of Children ?8VAC20-800 Preventing the Spread of Disease ?8VAC20-800 Medication Administration ?8VAC20-800 Emergencies ?8VAC20-800 Nutrition ?8VAC20-800 Transportation ?8VAC20-800 Nighttime Care ?8VAC20-820 THE LICENSE. ?8VAC20-820 THE LICENSING PROCESS. ?8VAC20-820 HEARINGS PROCEDURES. ?8VAC20-770 Background Checks ?20 Access to minor?s records ?22.1 Background Checks Code, Carbon Monoxide ?54.1 Provider must be MAT certified to administer prescription medication. ?63.2 Child abuse and neglect ?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Technical Assistance:

Effective January 1, 2025, the VDOE will begin determining compliance with ? 22.1-289.057 of the Code of Virginia, which is legislation passed by the General Assembly in 2020. The law requires all licensed child day programs, religious exempt child day centers that serve preschool age children, and certified preschools to test potable drinking water. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. There is an additional alternative bottled water option that comes with additional requirements. The statutory requirement can be found online at https://law.lis.virginia.gov/vacode/title22.1/chapter14.1/section22.1-289.057/. Resources are now available for providers on the "What's New" webpage on the ChildCareVA website at https://www.childcare.virginia.gov/providers/what-s-new.

Comments:

An unannounced, on-site monitoring inspection was initiated and completed on July 17, 2024, as a part of the licensure period. The on-site inspection began at 10:00am and ended at 11:30am. The inspector reviewed compliance in the areas listed above. There were four children(9pts) present and one staff. The inspector reviewed four children?s records and two staff records on site. This inspection included document review, a tour of the facility, interviews, and observations. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observation, documents required by the Superintendent were not posted in a conspicuous place on the licensed premises. Evidence: 1. The current inspection notice was not posted in a conspicuous place on the licensed premises. The last inspection notice was 12/08/2023;however, only the acknowledgment of inspection form dated 07/14/2023 was posted.
Plan of Correction:	The provider will print the current inspection notice and post it.
Standard #:	8VAC20-800-830-A
Description:	Based on documentation review and interview, emergency evacuation procedures were not practiced with all caregivers and children in care during all shifts that the children are in care. Evidence: 1. Emergency evacuation drills were not conducted for the months of December, January, February, March, April, May, and June. 2. Caregiver #1 confirmed that the emergency evacuation drills were not conducted for the months of December through June.
Plan of Correction:	The provider will conduct an emergency evacuation drill today for the month of July. Moving forward, the provider will ensure to conduct monthly emergency evacuation drills with the children in care.
Standard #:	8VAC20-800-920
Description:	Based on observation and interview, the menu for the current one week period was not posted. Evidence: 1. The menu for the current week was not posted. 2. Caregiver #1 confirmed that the menu was not posted and the parents are only verbally informed of the meals and snacks.
Plan of Correction:	The provider will print the menu and post it.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child #2's record (Start date-06/06/2024) did not contain documentation of a physical examination. 2. Child #3's record (Start date-06/12/2024) did not contain documentation of a physical examination.
Plan of Correction:	The provider will contact the parents to obtain a copy of the current physical examination for the children.
Standard #:	8VAC20-800-50-A
Description:	Based on documentation review and interview, the family day home did not keep a written record of the children in attendance each day. Evidence: 1. A written record of the children in attendance was not available at the time of the inspection. Documentation of attendance was not taken since 05/24/2024. 2. Caregiver #1 confirmed that the attendance for children in care had not been taken at the time of the inspection and that attendance had not been taken since 05/24/2024.
Plan of Correction:	The provider updated the attendance at the time of the inspection. Moving forward, the provider will take daily attendance every day.
Standard #:	8VAC20-800-60-A
Description:	Based on record review, the provider did not maintain an up to date record at the family day home for each child enrolled. Evidence: 1. Child #4 (Start date-07/17/2024) did not have a record.
Plan of Correction:	The child's parents will complete the child's record form today.
Standard #:	8VAC20-800-70-A
Description:	Based on record review, parents were not provided in writing required information before the child's first day of attendance. Evidence: 1. Child #4 (Start date-07/17/2024) did not have a record. The parents were not provided with the policies for administration of medication, provisions of the emergency plan, information for parents, and the liability insurance declaration.
Plan of Correction:	The parents will be provided with the required information today.
Standard #:	8VAC20-800-90-A
Description:	Based on record review, the provider did not obtain documentation that the child has been adequately immunized. Evidence: 1. Child #2's record (Start date-06/06/2024) did not contain documentation that the child has been adequately immunized. 2. Child #3's record (Start date-06/12/2024) did not contain documentation that the child has been adequately immunized.
Plan of Correction:	The provider will contact the parents to obtain a copy of the children's current immunization records.
Standard #:	8VAC20-800-330-A
Description:	Based on observation and interview, a landline telephone was not operable and accessible during the family day home's hours of operation. Evidence: 1. A landline telephone was not operable and accessible during the family day home's hours of operation. 2. Caregiver #1 confirmed that the landline telephone was not operable at the time of the inspection.
Plan of Correction:	The provider will call the phone company to reconnect the landline telephone.